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热量限制对器官大小的影响及其对代谢适应的作用:CALERIE 2的一项辅助分析

Effect of caloric restriction on organ size and its contribution to metabolic adaptation: an ancillary analysis of CALERIE 2.

作者信息

Falkenhain Kaja, Redman Leanne M, Chen Wendy, Martin Corby K, Ravussin Eric, Shen Wei

机构信息

Pennington Biomedical Research Center, Baton Rouge, LA, USA.

Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Irving Medical Center, New York, USA.

出版信息

Sci Rep. 2025 Aug 19;15(1):30374. doi: 10.1038/s41598-024-83762-0.

Abstract

Caloric restriction (CR) can enhance human health, though underlying mechanisms, particularly related to energy expenditure, remain unclear. This ancillary investigation of the only randomized controlled trial of long-term CR in normal-weight adults, aimed to quantify metabolic adaptation following weight loss by assessing changes in energy-expending tissues and organs using magnetic resonance imaging (MRI). Participants in the CR group were prescribed 24-month 25% CR causing a ~ 13% weight loss at 12 months followed by 12 month weight maintenance, whereas the control group maintained ad libitum food intake throughout. The CR group experienced reductions in adipose tissue and skeletal muscle mass compared to the control group. Sleeping energy expenditure decreased more than predicted at 12 months, regardless of whether predictions were based on body mass, dual x-ray absorptiometry (DXA)-derived body composition, or MRI-derived tissue mass. MRI-derived models explained slightly more variation in energy expenditure at baseline and detected greater metabolic adaptation than simpler models based on body mass only. At 24 months, only the models based on DXA and MRI were indicative of persistent metabolic adaptation. These findings highlight the complexity of metabolic responses to CR. Further, advanced imaging techniques hold potential to provide insight into organ-specific contributions to energy metabolism during CR.

摘要

热量限制(CR)可以增进人类健康,但其潜在机制,尤其是与能量消耗相关的机制仍不清楚。这项对正常体重成年人进行的长期CR唯一随机对照试验的辅助研究,旨在通过使用磁共振成像(MRI)评估能量消耗组织和器官的变化,来量化体重减轻后的代谢适应情况。CR组参与者被规定进行为期24个月的25%热量限制,在12个月时体重减轻约13%,随后12个月维持体重,而对照组在整个过程中随意进食。与对照组相比,CR组的脂肪组织和骨骼肌质量有所减少。无论预测是基于体重、双能X线吸收法(DXA)得出的身体成分,还是MRI得出的组织质量,睡眠能量消耗在12个月时下降幅度均超过预期。基于MRI的模型在基线时对能量消耗变化的解释略多于其他模型,并且与仅基于体重的简单模型相比,能检测到更大的代谢适应。在24个月时,只有基于DXA和MRI的模型表明存在持续的代谢适应。这些发现凸显了对CR代谢反应的复杂性。此外,先进的成像技术有可能为深入了解CR期间器官对能量代谢的特定贡献提供线索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d803/12365256/783e443bd0f3/41598_2024_83762_Fig1_HTML.jpg

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